title: Laparoscopic gastric plication: technical report.
abstract: BACKGROUND
  Laparoscopic gastric plication is an emerging restrictive bariatric procedure but still lacks standardization of the technique. The aim of this study was to apply a standardized, modified 3-port approach to laparoscopic gastric plication to improve outcomes.
  
  
  METHODS
  The modified laparoscopic gastric plication technique was applied for 63 morbidly obese patients between March 2010 and January 2013. There were 9 men and 54 women, with a mean age of 34.2 years (range 20-48 years) and a mean body mass index of 38.9 kg/m(2) (range 32-65 kg/m(2)).
  
  
  RESULTS
  There were no deaths, no conversion to laparotomy, no reoperation, and no readmission. Percent excess weight loss was 41%, 52%, and 60% at 3, 6, and 12 months, respectively. There were no major complications reported in our study, but prolonged early postoperative nausea and vomiting occurred in 3 of 63 (4.8%) patients who had been successfully treated with proton pump inhibitors and antiemetics.
  
  
  CONCLUSIONS
  Our initial experience showed that the 4-bite technique starting 2 cm below the angle of His with tight calibration of the gastric tube for obese patients is feasible, effective, and well tolerated, with a low frequency of major problems.
authors.affiliation: Gastroenterology Surgical Center, Mansoura University, Mansoura, Egypt; Gastroenterology Surgical Center, Jehan St., Mansoura, Dakahlia, Egypt. Electronic address: drarelgeidie68@hotmail.com.
authors.forename: Ahmed
authors.initials: A
authors.lastname: El-Geidie
authors.affiliation: Gastroenterology Surgical Center, Mansoura University, Mansoura, Egypt; Gastroenterology Surgical Center, Jehan St., Mansoura, Dakahlia, Egypt.
authors.forename: Nabil
authors.initials: N
authors.lastname: Gad-el-Hak
mesh_terms: D000328:Adult; D050110:Bariatric Surgery / Q000379:methods*; D005260:Female; D005743:Gastrectomy / Q000379:methods*; D006801:Humans; D010535:Laparoscopy / Q000379:methods*; D007902:Length of Stay; D008297:Male; D008875:Middle Aged; D009767:Obesity, Morbid / Q000601:surgery*; D055815:Young Adult
keywords: Gastric Plication; Laparoscopic; Technique